MR. JERRY RANDALL NUTT JR. (NPI# 1871685065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871685065 |
| Entity Type | Individual |
| Full Name | MR. JERRY RANDALL NUTT JR. |
| Credential | O.D. |
| Practice Address |
515 Cash Rd Sw Camden AR 71701-3706 |
| Practice Telephone | 8708362525 |
| Practice Fax Number | 8708367252 |
| Mailing Telephone | 8708362525 |
| Mailing Fax Number | 8708367252 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2011-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2570 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE ADVANTAGE | 49958 | 01 |
| AR | MEDIPAK ADVANTAGE | 49958 | 01 |
| AR | 180852722 | 05 | |
| AR | ARK BCBS | 49958 | 01 |
| AR | BLUE CARD/AR BCBS | 49958 | 01 |
| AR | ARK BCBS MEDIPAK | 49958 | 01 |
| AR | HEALTH ADVANTAGE | 49958 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417204447 | Jerry Eugene Nutt | Dentist | 1545 Powers Ferry Rd Se, 220, Marietta, GA 30067-9412 | 2012-08-09 |
| Street Address |
515 CASH RD SW |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528094240 | Family Eye Care Center | Optometrist | 515 Cash Rd Sw, Camden, AR 71701-3706 | 2006-06-24 |
| 1003145319 | Family Eye Care Center, Inc. | Optometrist | 515 Cash Rd Sw, Camden, AR 71701-3706 | 2009-12-15 |
| 1265446793 | Alyssa L Scott-nutt | Optometrist | 515 Cash Rd Sw, Camden, AR 71701-3706 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316549 | Refocus Eye Health of Nj, P.C. | Optometrist | 3 Cooper Plz Rm 510, Camden, NJ 08103-1438 | 2020-11-02 |
| 1346860491 | Hannah C. Williams | Optometrist | 2008 Concord Dr, Camden, SC 29020-9516 | 2020-04-19 |
| 1720140387 | Mark H Lipman | Optometrist | 400 Chambers Ave, Camden, NJ 08103 | 2006-12-13 |
| 1558448001 | East Coast Optometric, Inc. | Optometrist | 2209 West Dekalb St., H. Rubin Vision Center, Camden, SC 29020 | 2006-11-01 |
| 1649351552 | Steven Paul Lary | Optometrist | 38 Curtis Ave, Camden, ME 04843-2008 | 2006-10-18 |
| 1295824043 | Charles G Pope | Optometrist | 130 Eagle Ave, Camden, AR 71701-3711 | 2006-10-12 |
| 1891896072 | Teague Eye Care Center Pa | Optometrist | 1421 Country Club Rd, Camden, AR 71701-4507 | 2006-09-26 |
| 1528094240 | Family Eye Care Center | Optometrist | 515 Cash Rd Sw, Camden, AR 71701-3706 | 2006-06-24 |
| 1083657936 | Joseph Lebovic | Optometrist | 2985 Yorkship Sq, Camden, NJ 08104-2800 | 2006-06-14 |
| 1942252721 | William H Moore | Optometrist | 615 Laurens St, Camden, SC 29020-3523 | 2006-05-17 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.